Thursday, March 19, 2009

Surprise!

One thing that Dave and I kept under close wraps until just recently really is the fact that I'm 32 weeks pregnant today. Yes, this means that I was finishing up my first trimester when we were getting married in November. :)

Because of previous disappointments/losses and not wanting to get our hopes up, we decided to tell only a few select people who were encouraging and happy for us, but also cautious.

I have a previous history of pre-eclampsia with my daughter Alli. She was delivered at 27 weeks by emergency c-section, weighing in at 1 pound, 11 1/2 ounces. Yes, I know I've probably related this information before, but it bears repeating to bring you up to date on the current pregnancy.

So from day 1 that I was aware I was pregnant this time, I have been seen by Perinatologists through MN Perinatal Physicians. I have been lucky enough this time to not have any major issues - no signs or symptoms of pre-eclampsia, no gestational diabetes, etc.

My luck has held.... until last Thursday (3/12/09). I went in expecting a regular OB check and Bio Physical Profile and came out with a letter from my Perinatologist putting me on bedrest.

Good grief.

Apparently after my second BPP, they noticed that I had the same low levels of amniotic fluid when they did the amniotic fluid index sampling. They find this concerning - as I do - enough to put me on bedrest indefinitely.

Then, after being told I'm on bedrest, we still needed to meet the next day (Friday 3/13/09) with the anesthesiologist at Abbott Northwestern, where my MN Perinatal Physicians are going to be delivering me by c-section.

And so, Dave came with me to meet with Dr. Abbott for the consult at the hospital. Two things became immediately clear:
1.) I could be knocked out for the birth - again - like I was with Alli.
2.) Or, I could be awake for the birth - which scared me more.

(Back story: Because of my blood disorder that causes clots (Lupus Anticoagulant), I have been on Lovenox blood thinner since the day I found out I was pregnant, as well as 1 81mg tablet of Aspirin daily, per my perinatologists. This has been monitored closely to make sure that there are no clots that present, as they could potentially cut off blood flow to the placenta and kill the fetus.
We've been blessed this pregnancy in that my Hematologist and Perinatologists do communicate quite well most of the time.)

So anyways...Dr. Abbott was saying that if I need to be delivered prior to 36 weeks, I will likely be under general anesthesia with a breathing tube and all that fun stuff that I had with Alli. Honestly, I'm not worried if that happens - Been there, done that.

If, however, we can make it past 36 weeks with everything working out well, then the docs will switch me over from Lovenox (which has a 12 hour life span) to actual Heparin (which has a life span of 6 hours or less) so that if they need to do some quick work and get the baby delivered they don't have to worry too much about excessive blood loss. Always a nice thing.

As of right now, things are progressing. I'm eating and sleeping. Dave is calling the baby "the cabbage" because that's the size it was compared to on my babycenter.com weekly email update. Alli is VERY excited about being a big sister to a little sister.

Oh, didn't I tell you it's another girl? :)

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